33例老年COPD合并气胸患者临床分析  

Clinical analysis of elderly patients with chronic obstructive pulmonary disease and complication of spontaneous pneumothorax

作　　者：王炜[1] 李鸿雁[1] 孙海清[1] 胡永霞[1] 沈国玉[1] 

机构地区：[1]成都军区总医院老干科,四川成都610081

出　　处：《西部医学》2011年第9期1705-1706,共2页Medical Journal of West China

摘　　要：目的探讨老年慢性阻塞性肺疾病(COPD)并发气胸的临床特点及其治疗方法。方法对33例老年慢性阻塞性肺疾病并发气胸患者的临床资料进行回顾性分析。结果经休息、吸氧治愈10例,胸腔穿刺抽气治愈6例,胸腔闭式引流术治愈9例,8例因广泛皮下气肿、纵隔气肿、严重感染或呼吸衰竭而死亡。结论老年COPD并发气胸的临床表现多不典型,易误诊且病情凶险,常会导致严重的心肺功能衰竭,可危及生命,需尽早诊断和治疗。Objective To explore the clinic character of chronic obstructive pulmonary disease（COPD） complicated with spontaneous pneumothorax.Methods Clinical data of 33 cases with COPD and spontaneous pneumothorax were analyzed.There were 8 cases with pumping decompression by pleural puncture,15 cases with closed thoracic drainage,and 10 cases with closed pneumothorax.Results 25 cases were cured and 8 cases deadied.Conclusion With various cause,atypical clinic symptoms,the physical signs of COPD patients are easy to be covered by primary diseases.These patients are old,weak physical status,and the disease is always severe and rapid changeable.So it is important to apply X-ray examination at the earliest and employ combined treatment to relieve pneumothorax and to lower the mortality.

关 键 词：慢性阻塞性肺疾病 老年 气胸治疗 

分 类 号：R563[医药卫生—呼吸系统]